Healthcare Provider Details

I. General information

NPI: 1477841740
Provider Name (Legal Business Name): MENTAL HEALTH SOLUTIONS, PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/20/2011
Last Update Date: 07/20/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15715 S DIXIE HWY SUITE # 303
MIAMI FL
33157-1800
US

IV. Provider business mailing address

15715 S DIXIE HWY SUITE # 303
MIAMI FL
33157-1800
US

V. Phone/Fax

Practice location:
  • Phone: 305-753-7599
  • Fax: 305-259-7559
Mailing address:
  • Phone: 305-753-7599
  • Fax: 305-259-7559

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberMH8893
License Number StateFL

VIII. Authorized Official

Name: MS. LILIANA J MARKS
Title or Position: PRESIDENT
Credential: L.M.H.C., C.A.P.
Phone: 305-753-7599